INTUITIVE SURGICAL INC (ISRG) Earnings History

INTUITIVE SURGICAL INC - Q1 2026 EarningsBeat

Filed at: Apr 21, 2026, 4:09 PM EDT|Read from source

EXECUTIVE SUMMARY

Intuitive Surgical reported strong first-quarter results driven by robust growth in procedures and system placements, particularly for its newer da Vinci 5 systems. The company demonstrated significant revenue and non-GAAP net income growth year-over-year, reflecting expanding adoption of its robotic-assisted surgery platforms.

POSITIVE HIGHLIGHTS

  • •

    Worldwide procedures grew approximately 17% year-over-year, with da Vinci procedures up 16% and Ion procedures up 39%.

    positive
  • •

    Da Vinci surgical system placements increased to 431 units, up from 367 in the prior year, with a significant portion (232 units) being the newer da Vinci 5 systems.

    positive
  • •

    Revenue increased 23% year-over-year to $2.77 billion, driven by procedure volume, system placements, and installed base growth.

    positive
  • •

    Non-GAAP diluted EPS grew significantly to $2.50, up from $1.81 in the prior year's quarter.

    positive
  • •

    The company repurchased 2.3 million shares for $1.1 billion, indicating capital return to shareholders.

    positive

CONCERNS & RISKS

  • •

    Inventory levels increased to $1.95 billion from $1.84 billion at the end of the prior quarter, a sequential increase of approximately 6%.

    attention
  • •

    The company's 2026 outlook for non-GAAP gross profit margin includes an estimated impact from tariffs of 1.0% of revenue, with potential for material adverse impact if additional tariffs are implemented.

    attention
  • •

    Operating expenses grew 11% to 14% in 2026 outlook, potentially outpacing revenue growth if not managed effectively.

    attention

FINANCIAL METRICS

Revenue
Quarterly
$2.77B
N/A
Net Income
Quarterly
$826.00M
N/A
EPS (Diluted)
Quarterly
$2.28
+18.8%
Prior year: $1.92
Operating Income
Quarterly
$855.30M
N/A
EPS (Basic)
Quarterly
$2.31
+18.5%
Prior year: $1.95

MARGIN ANALYSIS

Gross Margin
Current Quarter
66.1%
Prior Year
64.7%
YoY Change
+140 bps
Operating Margin
Current Quarter
30.9%
Prior Year
25.7%
YoY Change
+520 bps
Net Margin
Current Quarter
29.6%
Prior Year
31.0%
YoY Change
-140 bps

Margin expansion indicates improving profitability and operational efficiency. Measured in basis points (bps): 100 bps = 1.0%.

REVENUE BY SEGMENT — Q1 2026 2026

VISUAL OVERVIEW

|
Instruments and accessories
0.0%
N/A
Systems
0.0%
N/A
Services
0.0%
N/A

DETAILED BREAKDOWN

|
SegmentCurrentPrior YrYoY% Total
Instruments and accessories
N/A———
Systems
N/A———
Services
N/A———
Total Revenue$0.00M——100.0%

Segment performance shows business unit health and growth drivers.

MANAGEMENT GUIDANCE

FY2026

da Vinci procedure growth
13.5—15.5
Mid-point: 14.5
"Approximately 13.5% to 15.5%"
Non-GAAP gross profit margin
67.5%—68.5%
Mid-point: 68.0%
"Within a range of 67.5% and 68.5% of revenue, including an estimated impact from tariffs of 1.0% of revenue."
Non-GAAP operating expense growth
11—14
Mid-point: 12.5
"11% to 14%"

Forward-looking guidance is subject to change and does not constitute a guarantee. Actual results may differ materially from these estimates.

EARNINGS CALL —

Call date
2026-04-21
Tone
N/A
Hedge density
N/A
Deflection rate
N/A

SPECIAL ITEMS & ADJUSTMENTS

Q1 2026
Contribution to the Intuitive Foundation
Not included in non-GAAP measures.
Q1 2026
Excess tax benefits related to share-based compensation arrangements
Included in GAAP net income, excluded from non-GAAP net income.
+$73.3M
$0.20 per share
Total Impact
+$73.3M$0.20 per share

Special items are non-recurring events that may distort period-over-period comparisons. Analysts typically adjust for these when calculating normalized earnings.

MANAGEMENT COMMENTARY

Pleased with company performance this quarter, marked by expanded adoption of our da Vinci, Ion, and digital platforms.

— INTUITIVE SURGICAL INC, Q1 2026 2026 Earnings Call

Deeply committed to supporting customers globally in their pursuit of the quintuple aim: achieving better patient outcomes, improving patient and care team experiences, lowering the total cost to treat, and expanding access to high quality, minimally invasive care.

— INTUITIVE SURGICAL INC, Q1 2026 2026 Earnings Call

The Company expects worldwide da Vinci procedure growth of approximately 13.5% to 15.5% in 2026.

— INTUITIVE SURGICAL INC, Q1 2026 2026 Earnings Call

Commentary excerpts from earnings call transcripts provide management's perspective on performance, strategy, and outlook. Always review full transcripts for complete context.

OPERATIONAL METRICS

Da Vinci 5 System Placements
232
+57.8% YoY
Prior year: 147
units
Da Vinci Installed Base
11.4K
+11.8% YoY
Prior year: 10.2K
systems
Da Vinci Procedures Growth Pct
16
percent
Da Vinci System Placements
431
+17.4% YoY
Prior year: 367
units
Ion Installed Base
1.0K
+22.0% YoY
Prior year: 853
systems
Ion Procedures Growth Pct
39
percent
Ion System Placements
52
+6.1% YoY
Prior year: 49
units
Worldwide Procedures Growth Pct
17
percent

Operational metrics provide insight into business drivers and customer engagement beyond traditional financial measures.

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